Most Relevant Information
Provider Data
| NPI Number: | 1003341363 |
| Provider Name: | JESSICA L WHITE BCBA 1-17-28745 |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-17-28745 |
Most Important Dates
| Enumeration Date: | 04/25/2017 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
3501 W ALGONQUIN RD
210
ROLLING MEADOWS
IL
60008
Practice Location Phone/Fax
| Phone: | 8479255260 |
| Fax: |
Provider Mailing Location
3501 W ALGONQUIN RD
210
ROLLING MEADOWS
IL
60008
Provider Mailing Phone/Fax
| Phone: | 8479255260 |
| Fax: |